HomeMy WebLinkAboutCHUKA_ROSALIA_8136313No.8136313
Name ~R~_L_~~~_~~_~~__f!l~!_~9_~!JAAL_~?_~~_~_~_~_
Date of birth __~n_~Ll~Q_?Date of order of admission )L?:.fdJ9-_~_Q _
Date certificate issued ~~;:.~!l:__~~}~~~Q by the
__mf:_~~_~__~J~~_~Court at ~~~h~~g_~~P:L_~~~_~~_·mm
Petition No.~9_~_?Alien Registration No.k-}§~J~_~_L _
(7.)__'~_J~~_
(COMPLETE AND TRUE SIGNATURE OF HOL.DER)